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目的研究结核脑膜炎患者PPD结果阳性程度与其脑脊液ADA阳性率预测价值。方法对南溪山医院确诊为结核性脑膜炎137例患者的PPD试验结果及其脑脊液ADA检测阳性率进行回顾性调查分析;观察其脑脊液ADA阳性率。结果结果显示PPD结果强阳性合并水泡组其脑脊液ADA检测阳性率为77.5%,明显高于其他各组脑脊液中ADA的阳性率。结论 PPD试验强阳性合并水泡患者其脑脊液ADA阳性率较高,对临床脑脊液检测ADA诊治结核性脑膜炎病有较高的预测价值。
Objective To study the positive degree of PPD in patients with tuberculous meningitis and the predictive value of ADA positive rate in cerebrospinal fluid. Methods The PPD test results of 137 patients diagnosed as tuberculous meningitis in Nanxi Mountain Hospital and the positive rate of cerebrospinal fluid ADA were retrospectively analyzed. The positive rate of ADA in cerebrospinal fluid was observed. The results showed that the positive rate of ADA in cerebrospinal fluid of patients with strong positive PPD was 77.5%, which was significantly higher than that of other groups. Conclusions The positive rate of cerebrospinal fluid ADA in PPD test patients with strong positive blisters is high, which is of high predictive value in clinical cerebrospinal fluid test of ADA diagnosis and treatment of tuberculous meningitis.